Integrating social determinants of health principles into the preclinical medical curriculum via student-led pedagogical modalities

Abstract Background Dismantling structural inequities in health care requires that physicians understand the impacts of social determinants of health (SDH). Although many medical schools incorporate SDH education, integration of these principles into the preclinical curriculum remains challenging. M...

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Main Authors: Krisandra Kneer, Erik Zhang, Tyler Harkness, Timothy Lahey, Karen M. Lounsbury
Format: Article
Language:English
Published: BMC 2023-04-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-023-04152-0
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author Krisandra Kneer
Erik Zhang
Tyler Harkness
Timothy Lahey
Karen M. Lounsbury
author_facet Krisandra Kneer
Erik Zhang
Tyler Harkness
Timothy Lahey
Karen M. Lounsbury
author_sort Krisandra Kneer
collection DOAJ
description Abstract Background Dismantling structural inequities in health care requires that physicians understand the impacts of social determinants of health (SDH). Although many medical schools incorporate SDH education, integration of these principles into the preclinical curriculum remains challenging. Methods Students and faculty at the University of Vermont, Larner College of Medicine developed the Social Medicine Theme of the Week (SMTW), a peer-teaching approach to integrating SDH topics across the preclinical curriculum as part of a broader social medicine curriculum. Students created objectives to link SDH-related topics to the weekly curriculum and presented them to the class. Student innovation led to the incorporation of creative online infographics that were published in the curriculum calendar. First year medical students and faculty members were surveyed to assess preferences and educational impact of the SMTW announcements with accompanying infographics. Results Of the 40 student respondents, 77.5% reported that their knowledge of SDH had improved due to the SMTW. Most students (82.5%) preferred the infographic modality over traditional teaching modalities. Faculty respondents reported limited engagement with the SMTW and, although they supported the need for these objectives, many (61%) found it difficult to integrate SDH content into their class materials. Conclusion Student-led infographics are a popular method of integrating SDH content in the preclinical curriculum that can be optimized through faculty orientation and support. Success for this type of instruction requires opportunities for student developers, integration and formal assessment of objectives, faculty engagement and training, and institutional support for creating and delivering a robust social medicine curriculum.
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spelling doaj.art-27dd2063c50d4be19f4b0173b745171a2023-04-09T11:19:32ZengBMCBMC Medical Education1472-69202023-04-012311910.1186/s12909-023-04152-0Integrating social determinants of health principles into the preclinical medical curriculum via student-led pedagogical modalitiesKrisandra Kneer0Erik Zhang1Tyler Harkness2Timothy Lahey3Karen M. Lounsbury4Class of 2025, Larner College of Medicine, University of VermontClass of 2024, Larner College of Medicine, University of VermontClass of 2024, Larner College of Medicine, University of VermontDepartments of Medicine/Ethics, Larner College of Medicine, University of VermontDepartment of Pharmacology/Office of Medical Education, Larner College of Medicine, University of VermontAbstract Background Dismantling structural inequities in health care requires that physicians understand the impacts of social determinants of health (SDH). Although many medical schools incorporate SDH education, integration of these principles into the preclinical curriculum remains challenging. Methods Students and faculty at the University of Vermont, Larner College of Medicine developed the Social Medicine Theme of the Week (SMTW), a peer-teaching approach to integrating SDH topics across the preclinical curriculum as part of a broader social medicine curriculum. Students created objectives to link SDH-related topics to the weekly curriculum and presented them to the class. Student innovation led to the incorporation of creative online infographics that were published in the curriculum calendar. First year medical students and faculty members were surveyed to assess preferences and educational impact of the SMTW announcements with accompanying infographics. Results Of the 40 student respondents, 77.5% reported that their knowledge of SDH had improved due to the SMTW. Most students (82.5%) preferred the infographic modality over traditional teaching modalities. Faculty respondents reported limited engagement with the SMTW and, although they supported the need for these objectives, many (61%) found it difficult to integrate SDH content into their class materials. Conclusion Student-led infographics are a popular method of integrating SDH content in the preclinical curriculum that can be optimized through faculty orientation and support. Success for this type of instruction requires opportunities for student developers, integration and formal assessment of objectives, faculty engagement and training, and institutional support for creating and delivering a robust social medicine curriculum.https://doi.org/10.1186/s12909-023-04152-0Social determinants of healthSocial medicine curriculumSocial medicine theme of the weekInfographicStudent-drivenPeer teaching
spellingShingle Krisandra Kneer
Erik Zhang
Tyler Harkness
Timothy Lahey
Karen M. Lounsbury
Integrating social determinants of health principles into the preclinical medical curriculum via student-led pedagogical modalities
BMC Medical Education
Social determinants of health
Social medicine curriculum
Social medicine theme of the week
Infographic
Student-driven
Peer teaching
title Integrating social determinants of health principles into the preclinical medical curriculum via student-led pedagogical modalities
title_full Integrating social determinants of health principles into the preclinical medical curriculum via student-led pedagogical modalities
title_fullStr Integrating social determinants of health principles into the preclinical medical curriculum via student-led pedagogical modalities
title_full_unstemmed Integrating social determinants of health principles into the preclinical medical curriculum via student-led pedagogical modalities
title_short Integrating social determinants of health principles into the preclinical medical curriculum via student-led pedagogical modalities
title_sort integrating social determinants of health principles into the preclinical medical curriculum via student led pedagogical modalities
topic Social determinants of health
Social medicine curriculum
Social medicine theme of the week
Infographic
Student-driven
Peer teaching
url https://doi.org/10.1186/s12909-023-04152-0
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